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1 Page Page A B C D E F G H I J This page must be sent to ISBE Note: For submitting to ISBE, the "Statement of Affairs" can and retained within the district/joint agreement ILLINOIS STATE BOARD OF EDUCATION be submitted as one file to avoid separating worksheets. administrative office for public inspection. School Business Services ()- SCHOOL DISTRICT/JOINT AGREEMENT NAME: Pawnee CUSD # DISTRICT TYPE RCDT NUMBER: Elementary ADDRESS: 0 Fourth St. Pawnee, IL High School COUNTY: Sangamon, Christian, Montgomery Unit x NAME OF NEWSPAPER WHERE PUBLISHED: Pawnee Post ASSURANCE The statement of affairs has been made available in the main administrative office of the school district/joint agreement and the required Annual Statement of Affairs Summary has been published in accordance with Section 0- of the School Code. YES CAPITAL ASSETS VALUE SIZE OF DISTRICT IN SQUARE MILES WORKS OF ART & HISTORICAL TREASURES 0 NUMBER OF ATTENDANCE CENTERS LAND, MONTH AVERAGE DAILY ATTENDANCE BUILDING & BUILDING IMPROVEMENTS,, NUMBER OF CERTIFICATED EMPLOYEES SITE IMPROVMENTS & INFRASTRUCTURE, FULL-TIME CAPITALIZED EQUIPMENT,, PART-TIME CONSTRUCTION IN PROGRESS 0 NUMBER OF NON-CERTIFICATED EMPLOYEES Total 0,, FULL-TIME PART-TIME NUMBER OF PUPILS ENROLLED PER GRADE TAX RATE BY FUND (IN %) PRE-KINDERGARTEN EDUCATIONAL.00 KINDERGARTEN OPERATIONS & MAINTENANCE FIRST BOND & INTEREST 0. SECOND TRANSPORTATION THIRD MUNICIPAL RETIREMENT 0.0 FOURTH SOCIAL SECURITY 0. FIFTH WORKING CASH SIXTH FIRE PREVENTION & SAFETY 0.0 SEVENTH TORT IMMUNITY 0. EIGHTH CAPITAL PROJECTS SPECIAL 0 SPECIAL EDUCATION Total Elementary LEASING NINTH OTHER TENTH 0 OTHER ELEVENTH DISTRICT EQUALIZED ASSESSED VALUATION (EAV),,0 TWELFTH EQUALIZED ASSESSED VALUATION PER ADA PUPIL, SPECIAL TOTAL LONG TERM DEBT ALLOWED,, ##### Total Secondary TOTAL LONG TERM DEBT OUTSTANDING AS OF June 0, 0, Total District PERCENT OF LONG TERM DEBT OBLIGATED CURRENTLY.00% ISBE 0- (0//0) ASAform.xls ANNUAL STATEMENT OF AFFAIRS FOR THE FISCAL YEAR ENDING June 0, 0 (Section 0- of the School Code)

2 Page Page A B C D E F G H I J K STATEMENT OF ASSETS AND LIABILITIES AS OF JUNE 0, 0 Description CURRENT ASSETS (00) Acct No (0) (0) (0) (0) (0) (0) (0) (0) (0) Educational Operations & Maintenance Debt Service Transportation Municipal Retirement & Social Security Capital Projects Working Cash Tort Fire Prevention & Safety Cash (Accounts thru ),,,00 0,,,,,,, Investments 0,,00 Taxes Receivable 0 Interfund Receivables 0 Intergovernmental Accounts Receivable 0 Other Receivables 0 Inventory 0 Prepaid Items 0 Other Current Assets 0 Total Current Assets,0,0,00 0,,,,,,, CURRENT LIABILITIES (00) Interfund Payables 0 Intergovernmental Accounts Payable 0 Other Payable 0 Contracts Payable 0 Loans Payable 0 Salaries & Benefits Payable 0 Payroll Deductions & Withholdings 0 Deferred Revenues & Other Current Liabilities 0 Due to Activity Fund Organizations Total Current Liabilities LONG-TERM LIABILITIES (00) Long-Term Debt Payable Total Liabilities Reserved Fund Balance,0,,000 Unreserved Fund Balance 0,0,,00 0,,, 0,,, Investments in General Fixed Assets Total Liabilities and Fund Balances,0,0,00 0,,,,,,,

3 Page Page RECEIPTS/REVENUES A B C D E F G H I J K STATEMENT OF REVENUES RECEIVED/REVENUES, EXPENDITURES DISBURSED/EXPENDITURES, OTHER SOURCES/USES AND CHANGES IN FUND BALANCE - FOR YEAR ENDING JUNE 0, 0 Description Acct No (0) (0) (0) (0) (0) (0) (0) (0) (0) Educational Operations & Maintenance Debt Service Transportation Municipal Retirement & Social Security Capital Projects Working Cash Tort Fire Prevention & Safety Local Sources 000,0,0,00 00,,,,,,0, Flow-Through Received/Revenue from One District to Another District 000, State Sources 000,,, Federal Sources 000 0, Total Direct Receipts/Revenues,,0,00 00,,,,,,0, Rec./Rev. for "On Behalf" Payments,0, Total Receipts/Revenues,,,00 00,,,,,,0, DISBURSEMENTS/EXPENDITURES Instruction 000,,, Support Services 000,0,,0,0,0 0,, Community Services 000, Payments to Other Districts & Govt Units 000,, Debt Services Total Direct Disbursements/Expenditures,0,00,,,0,,0 0,, Disb./Expend. for "On Behalf" Payments 0,0, Total Disbursements/Expenditures,,0,,,0,,0 0,, Excess of Direct Receipts/Revenues Over (Under) Direct Disbursements/Expenditures,,0,,,0,0,, (,000) Other Sources of Funds 000 Other Uses of Funds 000 Total Other Sources/Uses of Funds Excess of Receipts/Revenues & Other Sources of Funds (Over/Under) Expenditures/Disbursements & Other Uses of Funds,,0,,,0,0,, (,000) Beginning Fund Balances - July, 0,,,0,,,,,0, 0, Other Changes in Fund Balances Increases (Decreases) Ending Fund Balances June 0, 0,0,,00 0,,,,,,,

4 Page Page 0 0 A B C D E F G H I J K L M The summary must be published in the local newspaper. Pawnee CUSD # 0 Fourth St Pawnee, IL -- : - : School District/Joint Agreement Name Address Telephone Office Hours SUMMARY: The following is the Annual Statement of Affairs Summary that is required to be published by the school district/joint agreement for the past fiscal year. Statement of Operations as of June 0, 0 ANNUAL STATEMENT OF AFFAIRS SUMMARY FOR FISCAL YEAR ENDING JUNE 0, 0 Copies of the detailed Annual Statement of Affairs for the Fiscal Year Ending June 0, 0 will be available for public inspection in the school district/joint agreement administrative office by December, 0. Individuals wanting to review this Annual Statement of Affairs should contact: Also by January, 0 the detailed Annual Statement of Affairs for the Fiscal Year Ending June 0, 0, will be posted on the Illinois State Board of Education's website@ Educational Municipal Operations & Fire Prevention & Debt Services Transportation Retirement/Social Capital Projects Working Cash Tort Maintenance Safety Security Local Sources 000,0,0,00 00,,,,,,0, Flow-Through Receipts/Revenues from One 000 District to Another District, State Sources 000, 0 0, , Federal Sources 000 0, Total Direct Receipts/Revenues,,0,00 00,,,,,,0, Total Direct Disbursements/Expenditures,0,00,,,0,,0 0,, Other Sources/Uses of Funds Beginning Fund Balances - July, 0,,,0,,,,,0, 0, Other Changes in Fund Balances Ending Fund Balances June 0, 0,0,,00 0,,,,,,,

5 Page Page A B C D E F G SALARY SCHEDULE OF GROSS PAYMENTS FOR CERTIFICATED PERSONNEL AND NON-CERTIFICATED PERSONNEL This listing must be published in the local newspaper, sent to ISBE, and retained within your district/joint agreement administrative office for public inspection GROSS PAYMENT FOR CERTIFICATED PERSONNEL (Paying into TRS) Salary Range: Less Than,000 Salary Range:,000 -, Salary Range: 0,000 -, Salary Range: 0,000 -, Salary Range: 0,000 and over Bartello, Josy; Butler, Alicia; Cline, John Clarke, Jacqueline; Cnota, Hailey; Koniak. Barham, Daniel; Behrent, Jenny; Bell, Natalie; Doglio, Diana; Hennemann, William; Kirby, Alexander, Gary; Cline, Linda Debrun, Kristie; Duenas, V.; Emerick, Caitlyn, Marsaglia, Casara Bradley, Sharolyn; Copp, Deborah; Dirksen, Steven; Kratochvil, Timothy; Rabideau, Rebecca; Essig, Patricia; Gregurich, Noah; Deborah; Duenas, Alisha; Ervin, Jessica; Cynthia; VanDeventer, Eleanor; Wilmarth, Hinds, Shelly; Lieberman, Christina; Farr, Marsha; Faulkner, Mary; Good, Stacie; Shelli Loftus, Jennifer; Mataya-King, Carol; Millburg, Matthew; Niewinski, Ashley; Sanchez, Michael; Saviste, Todd; Scheufele, Sarah; Schrage, Brenda; Thein, Jamin; Thieman, Rebecca; Woodcock, Matthew; Zieibert, Rebecca GROSS PAYMENT FOR NON-CERTIFICATED PERSONNEL and Retired Teachers Hamilton, Chris; Harris, Jennifer; Hennemann, Raphael; Holderread, Megan; Jankousky, Lindsey; Kearney, Dawn; Kliment, Kim; MacDonald, James; McGlothlin, Chelsea; Nelson, Joan; Nestler, Stephanie; Rawlings, Matthew; Reinwald, Andrea; Roscetti, Stacie; Schwartz, Tera; Seiler, Carrie; Seiler, Jeff; Sitze, Michelle; Spengler, Pamela; Springman, Jamie; Walker, Tanya; Weller, Holly; Wilson, Brian Salary Range: Less Than,000 Salary Range: Less Than,000 Salary Range:,000 -, Salary Range: 0,000 -, Alspaugh, Jackie; Anderson, Jessica; Roberts, Jacinda; Scheller, Harold; Sloan, Agans, Debra; Day, Scott; Dennis, Kelly; Dirksen, Richard, Hagler, Robert Anderson, Jo Lynn; Andrews, Jacilyn William; Smargiassi, Donald; Smargiassi, Desart, Stanley; Johnson, Linda; McTaggart, Bell, Jesse; Boblitt, Larry; Boner, Austin; Mary Kay; Smith, Beverly; Springer, William; Nancy; Sloman, Janet; Thompson, Candy; Brown, Kedra; Butzow, Stanley; Byers, Stevenson, Bobbi; Stevenson, Chad; Taylor, Underwood, James; Underwood, Tyler Laura; Clarke, Mary; Cooper, Nyla; Day, Christopher; Dennis, Melissa; Depew, K-Lynn; Dozier, Karen; Dozier, Lisa; Earley, Dylan; Earley, Paul; Eckert, Trenton; Galloway, Becky; Gary, Cole; Grant, Troy; Hamilton, Jill; Haney, Steve; Harrison, Shannon; Howard, Christina; Ibberson, Alexandra; Jarrett, Jeff; Johnson, Marsha; Jones, David; Kindernay, Robin; Marvin, Marie; Masters, Michael; Masters, Peggy; McAllister, Michael; McCarrel, Nancy; Phillips, Rachel; Puzey, Cade; Reeves, Madison; Richardson, Gail; Roberts, Connie; Jean;Terry, Lori; Thein, Kitt; Tuxhorn, Mindy; Waldhauser, Betty; Williams, Kristle; Wolf, Glenna; Young, Connie

6 Page Page A Payments over,00, excluding wages and salaries. Person, Firm, or Corporation ACE CONTRACTING OF ILLINOIS AMEREN AMSAN ARAMARK US ST LOUIS MC LOCKBOX BLDD BLUE CROSS BLUE SHIELD BSN SPORTS INC BURGESS AND SONS INC CENTRAL SUPPLY CURT SMITH SPORTING GOODS DELTA DENTAL DRAKE-SCRUGGS FEDERAL TAX DEPOSIT FOLLETT SCHOOL SOLUTIONS FRONTIER GARDNER L & M GLASS INC GLOBAL GOVT/EDUCATION HENSON ROBINSON COMPANY HOME OIL CO I M R F IASB ILLINOIS EDUCATORS CREDIT UNION ILLINOIS STATE BOARD OF ED JACKSONVILLE SAVINGS BANK KOHL WHOLESALE KONE LEWIS ELECTRIC INC LINCOLN FINANCIAL GROUP LINCOLN PRAIRIE BEHAVIORAL HEALTH CENTER LOWES MARTINSVILLE ROOFING CO MELLON HSA SOLUTION OFFICE DEPOT OMNI OSHEA BUILDERS P E A PAWNEE HS G Aggregate Amount,0.,.,.,.0,0.,.0,.,0.0,.0,0.0,.,00.00,.,.,.,.00,0.0 0,.,.,.0,0.00,.,.,.,.,0.,.0,.,0.00,.,.00 0,.,.,00.0,.00 0,0. 0,.0

7 Page Page 0 0 A G PAWNEE IMPREST,00. PAWNEE LUMBER,.0 PEARSON EDUCATION INC,0. PEHLMAN AND DOLD,0.00 PERMA BOUND,. PRAIRIE FARMS,. PSIC,.00 RENAISSANCE LEARNING INC.,.00 REPUBLIC SERVICES,. RIDDELL,. ROBBINS SCHWARTZ NICHOLOS,0.0 SANGAMON AREA SPECIAL EDUC. 0,. SASED,0. SCHOOL TECH SUPPLY,.00 SERVPRO,. SPECIALIZED DATA SYSTEMS 0,00.00 SPRINGFIELD ELECTRIC STATE OF ILLINOIS TEACHER HEALTH INS. SECURITY TEACHERS RETIREMENT SYSTEM TOWNSEND PRESS TREMCO VILLAGE OF PAWNEE WATTS,.,0.0,.,0.,.,00.00,.,0.

8 Page Page A B F PAYMENTS TO PERSON, FIRM, OR CORPORATION OF,000 TO,00 This listing must be sent to ISBE, and retained within your district/jointagreement administrative office for public inspection. Pawnee CUSD # Payments of,000 to,00, excluding wages and salaries Person, Firm, or Corporation Aggregate Amount AEC FIRE EQUIPMENT AMERICAN FAMILY BEHRENT, JENNY CERTIFIED DENTON-SPRINGER INSURANCE EDUCATION TECHNOLOGY PARTNERS ETC COMPUTERLAND FARMER ENVIRONMENTAL GM SERVICES GROUPCAST, LLC IASA,.00,0.,.,.00,.00,0.00,0.,.00,0.00,.,. ILLINOIS PRINCIPALS ASSOC,0.00 IXL LEARNING,00.00 J W PEPPER AND SON INC,. JOSTENS,. KEARNEY, DAWN,. KOPEC, CAITLYN,0.00 KRATOCHVIL, TIM,. LANTER DISTRIBUTING OF OHL,. LARRY BARRY,.0 MARTIN ENGINEERING CO, MCGLOTHLIN, CHELSEA,0. MIDWEST BUS SALES,0. MIDWEST GARAGE DOOR CO.,.00 NAPA OF AUBURN,.0 NEFF COMPANY,. PITNEY BOWES,0.0 PRAIRIELAND FS,.0 RABIDEAU, CINDY,0.00 SCANTRON,.

9 Page Page A B F SENTINEL INSECT CONTROL,0.00 SIMPLEX,.00 SMEKENS,.00 SOCS,. STILLWATER ENTERPRISES,0.00 TRUCK CENTER,.0 UNTANGLE INC,0.00

10 Page Page A B C D H PAYMENTS TO PERSON, FIRM, OR CORPORATION OF 00 TO This listing must be retained within your district/joint agreement administrative office for public inspection. Pawnee CUSD # Payments of 00 to, excluding wages and salaries. Person, Firm, or Corporation Aggregate Amount AED SUPERSTORE. ALEXANDER, GARY.0 ALLIED WASTE SERVICE. ASCD. ATT 0. BATTERY CONTACT. BOYD MUSIC 0. BRADLEY, SHAROLYN 0.00 CAPITAL SOUND AND LIGHT CORP.00 CASNER INDUSTRIAL.00 CENTRAL ILLINOIS SECURITY IN 0.00 CONSTRUCTIVE PLAYTHINGS 0. DIRKSEN, DEBORAH 0.0 DIRKSEN, RICHARD. EMERSON PRESS.00 FOLLETT SCHOOL SOLUTIONS.0 FRONTLINE TECHNOLOGIES.00 GLOBAL EQUIP. GRAPHIC EDGE. HODGE PRODUCTS.00 IESA KIRBY, STEVEN. MID-WEST TRUCKERS ASSOC MOHA.00 OBERLANDER COMMUNICATIONS. PIT STOP. PLEASANT NURSEY 0.00 QUALITY ELEVATOR INSPECTIONS SANGAMON COUNTY ROE.00 SCHOOL DATEBOOKS.

11 Page Page A B C D H SOUTH COUNTY PUBLICATIONS 0. SPRINKLAWN.00 THEIN, KITT. TIMBERLINE BILLING SERV. TOLEDO PE SUPPLY.0 WELLER, HOLLY.00 XPERT FIT CUSTOMIZED LIGHTING SOLUTIONS.

12 Page Page A REPORT ON CONTRACTS EXCEEDING,000 AWARDED DURING FY0 In conformity with sub-section (c) of Section 0-0. of the School Code [0 ILCS /0-0.], the following information is required to be submitted in conjunction with submission of the Annual Statement of Affairs [0 ILCS /0-]. INSTRUCTIONS: (See the attached document (pdf) for additional guidance and definitions.) B 0 0 M:\ASA0\ Guidance Regardin ITEM. Count only contracts where the consideration exceeds,000 over the life of the contract and that were awarded during FY0 and record the number below in the space provided. Do not include: () multi-year contracts awarded prior to FY0; () collective bargaining agreements with district employee groups; and () personal services contracts with individual district employees. ITEM. Aggregate the value of consideration of all contracts included in item and record the dollar amount below in the space provided. ITEM. - Count only contracts where the consideration exceeds,000 over the life of the contract that were awarded during FY0 to minority, female, disabled or local contractors and record the number below in the space provided. Do not include: () multi-year contracts awarded prior to FY0; () collective bargaining agreements with district employee groups; and () personal services contracts with individual district employees. ITEM. Aggregate the value of consideration of all contracts included in item and record the dollar amount below in the space provided.. Total number of all contracts awarded by the school district: (Enter Number Here). Total value of all contracts awarded:,0 (Enter Amount Here). Total number of contracts awarded to minority owned businesses, female owned businesses, businesses owned by persons with disabilities, and locally owned businesses: 0 (Enter Number Here). Total value of contracts awarded to minority owned businesses, female owned businesses, businesses owned by person with disabilities, and locally owned businesses: 0 (Enter Amount Here)

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